家庭医生服务模式下社区护士工作现状调查

目的了解深圳市家庭医生服务模式下社区护士的工作现状。方法采用自制调查问卷,对深圳市24个社区健康服务中心共186名社区护士进行调查。结果家庭医生服务模式下,深圳市社区护士目前最常做的工作主要有:基本医疗服务(81.3%)、健康管理(76.1%)、计划免疫(75.8%)、儿童保健(75.0%)、老年人保健(74.5%)、慢性病管理(72.3%)、健康教育(71.7%)以及计划生育指导(68.0%),而传染病管理(56.7%)、精神卫生保健(56.6%)、残疾人管理(56.3%)等工作开展相对较少。结论深圳市社区护士的工作内容既有基础医疗服务,又有公共卫生服务,已逐步向社区"六位一体"的功能扩展,但还需针对工作中开展不足的项目逐步完善。

Status Quo of Community Nurses Based on Mode of Family Doctor

Objective To understand the status quo of community nurses based on the mode of family doctor in Shenzhen. Methods An anonymous questionnaire was conducted among 186 community nurses from 24 community health service centers in Shenzhen. Results The work of community nurses based on the mode of family doctor included basic medical service, health management, immunization, health care of children and the elderly, chronic disease management, health education and guidance of family planning. But very few nurses carried out mental health care and management of disabled persons. Conclusion There are both basic medical service and public health service in the work of community nurses in Shenzhen. The integrated mode of “Six in One” among community nursing is gradually improved and great emphasis of nursing should be put on the full implementation of community health care.